Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Beaufort Hall Nursing Home 28 & 30 Birnbeck Road Madeira Cove Weston Super Mare North Somerset BS23 2BT The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Juanita Glass Date: 0 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Beaufort Hall Nursing Home 28 & 30 Birnbeck Road Madeira Cove Weston Super Mare North Somerset BS23 2BT 01934620857 01934414426 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Boyack Enterprises Ltd care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability 0 0 Over 65 33 6 Conditions of registration: May accommodate up to 6 persons aged 65 years and over with physical disabilities May accommodate up to 33 persons aged 65 years and over requiring nursing care Date of last inspection Brief description of the care home Beaufort Hall Nursing Home is registered for 33 elderly people aged 65 years or over. The home is on Weston-Super-Mare seafront and occupies a prominent position overlooking Marine Lake. The approach to the main entrance of the home is up a steep slope. Wheelchair access is available at the other end of the building. The home has 25 rooms used as single occupancy and four double rooms. All rooms have en suite toilets. Beaufort Hall is a four-storey building and has a six-person passenger lift accessing all floors. The home has been suitably adapted for the current resident group Care Homes for Older People Page 2 of 8 with handrails in corridors and grab rails in toilet facilities. There is a large dining room on the ground floor and two spacious lounges on the first floor, each of which has a small dining area. The home has a nurse call bell system throughout. There is a Registered Nurse on duty at all times. The home is well maintained and comfortably furnished. It is close to local amenities and the town centre. Care Homes for Older People Page 3 of 8 What we found:
We visited Beaufort Hall following a complaint about poor heating and the lack of bathing for residents in the home. We discussed the provision of heating as well as the maintenance and repair of the boilers with the manager. We carried out a tour of the premises, spoke to people about their experiences and we looked at the records kept by staff regarding baths and showers. We noted that on the ground floor and first floor, bedroom temperatures were comfortable with out the need for extra heating. People we spoke to said they found their rooms were adequately heated. One person was sat in a T-shirt and said they were perfectly warm enough. On the upper floor we noted comfortable temperatures in rooms were being maintained with the additional use of portable heaters. We spoke to three residents and a visitor on the upper floor about the suitability of the heating in their rooms. One resident said that last winter the heating had been very good but this year it had not been as efficient and needed the portable heaters to keep the rooms warm. They stated that this had been all winter but had got worse at the weekend when the heating had appeared to break down. The resident had mentioned this to the manager and their relative had raised a concern as well. The manager confirmed that following the concerns being raised they had called an engineer out who had needed to obtain a part, which they arrived with and fitted during our visit. The heating engineer confirmed that he had repaired the problem and the boiler was working well, the electrician later confirmed the boiler was heating up. We spoke to one resident who was in bed with blankets and a duvet and wearing a fleece who said the room was always cold, the temperature in the room during our visit was 24C (75F). We mentioned to the manager that the resident said they felt unwell and she confirmed a GP visit had been requested. We suggested that the reason the person was feeling the cold may be related to their physical condition. We also checked the hot water in the one upper floor room and it took a long time, 2-3 minutes, to get hot the resident said it was always cold, the manager said it was the end of the line and took a while for the hot water to get to the room. We requested records kept by staff to indicate people had been offered a bath or a shower. We noted from these records that people had plenty of opportunities for baths and showers. Staff recorded either when a bath or shower was carried out or when the person had said they did not wish one. From these records we saw that people in the home had bathed or showered more regularly than the once a fortnight stated in the complaint. We spoke to the visiting chiropodist who said that they had never found the need to raise concerns about personal hygiene in the home, they felt they would certainly notice poor practice when tending peoples feet. What the care home does well:
Although three separate comments indicated that the heating had not been up to its best since October the manager had acted immediately when residents and a relative had raised concerns that it appeared to have broken down completely. No complaints or concerns had been received during the very cold spell. The manager had provided strip blinds in a room when requested to prevent draughts and had offered an alternate room. Alternative heating had been provided and these were all covered by very detailed risk assessments. No rooms in the home, except for a few unoccupied rooms, registered below 70F during our tour of the premises. Very concise records are kept by staff indicating that personal hygiene is well Care Homes for Older People
Page 4 of 8 maintained and that people are offered a choice of showering, bathing or declining altogether. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 25 23 The provider must make sure 29/01/2009 that appropriate measures are taken to ensure the home is sufficiently heated through out the colder months to maintain the health and welfare of residents. This refers to the servicing and repair of existing boilers and the provision of safe mobile heaters. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 25 The provider needs to look at ways in which either the supply of hot water to the upper floor could be quicker or an alternative system used. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
